Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. doctor, hospital or urgent care, Inflation Reduction Act and Sharp Health Plan, City of San Diego employees & retirees (SDPEBA), 7 questions about the COVID-19 vaccine for kids, The young adults guide to accessing care, Get the most out of your pharmacy benefits, Safe disposal of prescription medications, Medicare and other insurance coverage questionnaire, Access to a loved ones health information, 4 ways to help employees prepare for open enrollment, Covered California expands financial help, Counseling patients to self-isolate at time of testing, Grace periods for delinquent payments by members, Mental health & substance use disorder services. Claims Processor at Sharp HealthCare in San Diego We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Search Sharp Health Plan PayerID SHP01 and find the complete info about Sharp Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . Once you have submitted our request form, we will review your request and send you an email invitation to complete the connection within 30 business days. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Long Beach, CA 90801-5616, Encounter Data Team AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. SHARP HEALTH PLAN - 16 Photos & 197 Reviews - Insurance - 8520 Tech Way, San Diego, CA - Phone Number - Yelp Sharp Health Plan 197 reviews Claimed Insurance Closed 8:00 AM - 5:00 PM Steve Lyons - State Farm Insurance Agent Rich Nye - State Farm Insurance Agent Frequently Asked Questions about Sharp Health Plan How is Sharp Health Plan rated? For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Sharp Community has been caring for San Diegans since 1989. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. For example, if your deductible has been met and your coinsurance is 20 percent, your plan will cover the remaining 80 percent of covered services. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. The General Data Protection Regulation (GDPR) governs the processing of personal information gathered from individuals while they are in the European Union (EU) and parts of the EEA (European Economic Area, which currently includes Iceland, Lichtenstein and Norway). Phone: 1-858-499-8200. 1-877-251-5896 fax When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Encounter Data Team Encounters_Operations@scanhealthplan.com. Real Time Claim Status (RTS): NO. VISIT THE HELPLINE Sharp Health Plan rated 5 out of 5 stars by Medicare for 2023 Every year, Medicare evaluates plans based on a 5-star rating system. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Get free, confidential 24/7 treatment referral and information from the National Helpline. Call our Customer Care team at (855) 995-5004 or submit a form. Nu qu v, hay ngi m qu v ang gip , c cu hi v Sharp Health Plan, qu v s c quyn c gip v c thm thng tin bng ngn ng ca mnh If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 1-858-499-8009 Caregivers for SCAN Members can receive help with their login credentials here. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. FBT: SharpHealthPlan.com no longer supports this Internet browser. For general information or questions about quotes, rates or materials: At this time, the Sharp Health Plan office is not open to visitors due to coronavirus (COVID-19) restrictions. P.O. Contact us - Phone numbers, email, mailing address - Sharp Health Plan Helpful holiday tips, your 2023 coverage checklist and more. For general information or questions about quotes, rates or materials: 1-800-359-2002 . We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Sharp HealthCare Phone Numbers and Email - San Diego The provider must follow all applicable laws, policies and contractual requirements when filing. Learn More. It's easy to register. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from , Health (9 days ago) WebContact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Claims :: The Health Plan Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Nu qu v, hay ngi m qu v ang gip , c cu hi v Sharp Health Plan, qu v s c quyn c gip v c thm thng tin bng ngn ng ca mnh SharpHealthPlan.com no longer supports this Internet browser. Need to pay a medical bill or copay? Sharp is not-for-profit and relies on fundraising. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Careers We are working to resolve this as quickly as possible. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Learn More. Preferred Qualifications. SCAN Claims Department If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. Can't find your answer below? SharpCare Medical Group patients can use this form to make online payments. 1-800-HHS-TIPS (1-800-447-8477) Thank you for serving our city and San Diegans like us. Health Insurance for Children, Provider Enrollment * Every year, Medicare evaluates plans based on a 5-star rating system. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. Fax: 1-858-303-9049 Award-winning service, comprehensive coverage, plus more. Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. SCAN Directory - SCAN Health Plan Para hablar con un intrprete, llame al 1-800-359-2002. Box 22698 Long Beach, CA 90801-5616. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . min ph. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Sharp Health Plan is an HMO with a Medicare contract. The claim dispute process should only be used after other attempts to resolve the matter have failed. Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . You may submit your claim dispute in writing through the mail or send electronically to us through fax. Many surgery and procedure names sound similar. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. Refer to your insurance card or call your insurance provider to determine your medical group. Electronic submission*: Through Electronic Clearing House Please read our. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. March is Colorectal Cancer Awareness Month. LEARN MORE . You have entered a ZIP code that is not currently accepting enrollments. The monthly premium for our new VIP Plan is $0. 1-858-499-8211 View past statements and payment history from the last 18 months, Save a payment method for quicker check out, Access patient portals and other digital tools. Call us We are available 7 am to 8 pm, seven days a week. am, Monday through Friday, and 24 hours a day on weekends. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Click here. ) 1-800-359-2002. Submit authorizations. The only way to ensure you have the full Sharp Experience, from coverage to care, is with a Sharp Direct Advantage plan - only from Sharp Health Plan. CLAIM.MD | Payer Information | Sharp Health Plan email us at provider.relations@sharp.comor call 1-858-499-8330. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns. MORE OPTIONS + Brokers We're here to help you succeed. For the best experience on our website, please upgrade your browser to the latest version. 1-360-975-7000, option 1. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time You may receive a bill from us after your health insurance plan processes our bill. Don't want to pick up the phone? Never wonder about the status of your claims again. Cscs bill payer program volunteer application form return to: bill payer program council of senior centers and services of nyc, inc. 195 montague street, b-15 brooklyn, new york, ny 11201 phone: 718-858-2358 fax: 718-858-2702 personal: (this. If there is a problem with the information provided, and your insurance plan will not pay, our billing office attempts to correct the information and refile the claim. Hours may change during holidays. 1-800-454-3730. Looking for Provider Login or Agent/Broker Login? www.ethicspoint.com, SCAN SIU Team 1-888-327-9791 tel. You can use Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. For the best experience on our website, please upgrade your browser to the latest version. Use your member ID number to sign Sharp Health Plan 1.800.359.2002. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. You can talk to a nurse 5 pm to 8am, Monday to Friday, and 24 hours a day on weekends by calling 1-800-359-2002. Voz y TTY (telfono de texto):1-800-855-3000. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Policy Manuals For the best experience on our website, please upgrade your browser to the latest version. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Welcome to SCAN Health Plan! Si usted, o alguien a quien usted est ayudando, tiene preguntas acerca de Sharp Health Plan, tiene derecho a obtener ayuda e informacin en su idioma sin costo alguno. Please check the box proving that you are not a robot. All of the points of contact are professional, committed and passionate about providing high-quality service. You can call us Monday through Friday, 8 am to 5 pm. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Long Beach, CA 90806, EthicsPoint AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. OptumRx Pharmacy Benefits - CalPERS A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. News & Press Releases, Can't find what you're looking for? Click here to read the full disclaimer. Hours may change during holidays see below. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. and Nov. 30, 2023. You can call us Monday through Friday, 8 am to 5 pm. With our cost-saving benefits, you could put more money back into your monthly budget. Our fax number is 1-858-303-9049 . To pay by credit card over the phone, please call Patient Financial Services: Check, cashier's check, money order and major credits cards are accepted at all Sharp HealthCare hospital and clinic locations. You may submit feedback about your Medicare Advantage health plan directly to Medicare. You can call us Monday to Friday, 8 am to 6 pm. Sharp Health Plan - HMO 2022-23 Edition - California Sharp Health Plan . Learn how , These two screening tests can help prevent cervical cancer or detect it early. 1-800-600-4441. Caregivers for SCAN Members can receive help with their login credentials here. Seven days a week, Default (Select appropriate section in drop down menu to populate), Get the most out of your pharmacy benefits, Understanding your explanation of benefits, Medicares 5-star special enrollment period. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Claims and EDI 1-877-778-7226. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Claims Processor at Sharp HealthCare in San Diego Claims Processor Job ID JR133620 Date Posted 01/25/2023 San Diego, California Corporate Offices Day Regular Apply now Responsibilities Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: between 05:00 am - 09:00 am Weekend Requirements: As Needed On-Call Required: Call Member Services to request translation services. If you use FollowMyHealth, you may grant account access to any adult. Box 982975El Paso, TX 79998-2975. Attn: Member Services Thank you for your understanding as we work to ensure everyone remains healthy and safe.